Greenberg, Leonard David
Greenberg, Leonard David is an individual health care provider with primary practice located at 76 Bedford Street Suite 21, Lexington MA 02420-4641. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Greenberg, Leonard David can be contacted via phone (781) 861-6662.Contact Information
Primary practice address
76 Bedford Street Suite 21
Lexington MA 02420-4641
Phone: (781) 861-6662
Fax: (781) 648-4717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3139 | Massachusetts |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 3139 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3139 | Massachusetts |
Profile Details
| NPI number | 1023180486 |
|---|---|
| LBN Legal business name | Greenberg, Leonard David |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023180486 | NPPES |
| Massachusetts | MEDICAID | 1853040 | |
| Massachusetts | Other | 329375 | |
| Massachusetts | Other | 016568 | |
| Massachusetts | Other | 760699 | |
| Massachusetts | Other | 108146 | |
| Massachusetts | Other | 1899368 |
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